Developing a Measure of Unmet Health Care Needs for a Pediatric Population
Bibliographic Data
| ID | 9102595 |
|---|---|
| Authors | Penny Liberatos (0000-0002-9335-0397, Vibrant Emotional Health, corresponding author), Jack Elinson (Vibrant Emotional Health, corresponding author), Tracy Schaffzin (Vibrant Emotional Health, corresponding author), Jaclyn Packer (American Foundation for the Blind, corresponding author), Dorothy Jones Jessop (Jewish Community Centre Association of North America, corresponding author) |
| Year | 2000 |
| Volume | 38 |
| Issue | 1 |
| Pages | 19-34 |
| Publication date | 2000-01-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-200001000-00004 |
| PMID | 10630717 |
| OpenAlex | W2330310132 |
| Language | EN |
| Citations received | 2 |
| References cited | 20 |
BACKGROUND: Quantified measures of unmet health care needs can be used to evaluate health care interventions, assess the impact of managed care, monitor health status trends in populations, or assess equity of access to medical care across population subgroups. Such a measure needs to be simple, relatively easy to obtain, inexpensive, and appropriately targeted to the population of interest. OBJECTIVE: To develop a measure of unmet health care needs that is specifically targeted to a pediatric population. SUBJECTS: Study participants consisted of children, aged 1 to 5 years (n = 1,031), and adolescent mothers, aged 13 to 19 years (n = 172), predominantly from poor, minority families in New York City. RESEARCH DESIGN: Based on a measure, the symptoms-response ratio, developed for all age groups, this study replicated Taylor's procedures specifically for children and adolescents. Respondents were asked if they had experienced a set of physical symptoms and if they saw a doctor in response. A panel of pediatricians rated the same symptoms as to whether health care should be sought. RESULTS: The measure achieved adequate inter-rater reliability and good construct validity. The children's overall use of health services did not differ from the pediatric panel's expectations, but with differing degrees of unmet needs by symptom. Adolescents sought care less often than the expert panel members believed they should. CONCLUSIONS: The symptoms-response ratio provides a good balance of a simple and inexpensive measure while yielding a fair estimate of unmet needs for primary care. This analysis created a pediatric measure targeted to the needs of young children and adolescent females
Environmental health · Family medicine · Health care · Medical Expenditure Panel Survey · MEDLINE · Population · Psychological intervention · Healthcare cost, quality, practices · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Nursing · Gerontology
Health Insurance and Access to Primary Care for Children
Health status indices and access to medical care
Race, ethnicity, and access to ambulatory care among US adolescents
The national profile of access to medical care
Care denied
Application of Health Status Assessment Measures in Policy Research
Health Status as a Measure of Need for Medical Care
Sentinel health events as indicators of unmet needs
Child health and the social environment of white and black children
Intraclass correlations
A Social Indicator of Access to Medical Care
Adolescent Competence, Psychological Well-Being, and Self-Assessed Physical Health
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,18 |
| Citation span | 2015 - 2022 (8) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |